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Is survodutide at 2 mg/mL stable enough for three weeks of multi-withdrawal use?

Asked 5 May 2024Modified 22 months agoViewed 20k times
18

Conditions: survodutide · 2 mg/mL · three weeks.

I want to know whether there is evidence behind this or only repetition.

I have checked the obvious registries and monographs without success.

Is there data behind this, or is it received wisdom?

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OB
askedolu_babatunde6.2k145 May 2024
7Same question here after a warm delivery, so I am following this. – m_haraldsen 6 months ago
8Worth saying whether the vial has been opened, because that starts a different clock. – sian_llewellyn 7 months ago
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5 Answers

Accepted answer first, then by votes
166

Accepted answer

three weeks is 21 days and, on a weekly schedule, 3 stopper punctures out of one vial at 2 mg/mL. Set the chemical question aside for a moment, because the puncture count is the one with a convention attached: 21 days is 0.75 times the twenty-eight days conventionally allowed for a preserved multi-dose preparation once it has been entered. Chemically, 2 mg/mL is high enough that adsorption to the glass is a rounding error and low enough that it is not protecting you from anything. What 3 withdrawals do add is 3 opportunities to introduce air, 3 coring events on the same stopper, and a headspace that grows with every draw — none of which show up on a certificate and all of which are avoided by splitting into aliquots at reconstitution.

Answering this needs the physical state, since a dry powder is protected from most of these and a solution is protected from none.

Oxidation targets methionine, cysteine and tryptophan, adding sixteen daltons per oxygen. It is catalysed by trace metals and promoted by dissolved oxygen and by light.

Reported and extrapolated stability by condition

StateConditionUsable windowBasis
Lyophilised solid−20 °C, sealed, dry24–36 monthsSupplier guidance
Lyophilised solid2–8 °C, sealed12–24 monthsSupplier guidance
Lyophilised solid25 °C, sealed4–8 weeksExtrapolated (Arrhenius)
Lyophilised solid40 °C, sealed1–2 weeksExtrapolated
Solution, preserved2–8 °C28 daysUSP microbiological convention
Solution, preserved25 °C3–7 daysExtrapolated
Solution, unpreserved2–8 °C24 hoursUSP microbiological convention

Windows for the solid state are chemical; windows for solution are microbiological and usually shorter than the chemical limit.

Worth being precise here: adsorption onto glass and plastic is significant at low concentrations — micrograms per millilitre — and negligible at milligrams per millilitre. It is the usual explanation for an apparent loss in a dilute preparation.

Metal-catalysed oxidation of methionine is documented across peptide and protein formulations and is why chelators appear in some formulations.

Sequence determines which pathways apply, so general statements are general.

A mass spectrum names the pathway. Plus one, plus sixteen, minus eighteen.

edited 23 Sept 2024 by nominal_ten — added a caveat about sampling

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NT
answered · acceptednominal_ten12k1524 Aug 2024
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65

The relevant point is that a mass shift of plus one dalton is deamidation and plus sixteen is oxidation, so degradation is often visible in a mass spectrum if anyone looks.

Aggregation is physical: peptides unfold at air-liquid interfaces and associate. Shaking maximises that interface, which is why swirling and shaking produce visibly different outcomes on the same vial.

Freeze-thaw cycling drives aggregation through concentration at the ice interface and pH shifts as buffer components crystallise out at different rates. Each cycle costs something.

Apparent loss in a dilute preparation is usually adsorption rather than degradation and is worth ruling out first.

Sequence decides which pathways are even available. Check the residues.

edited 26 May 2024 by ekaterina_volk — corrected a unit error in the worked example

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EV
answeredekaterina_volk21k287 May 2024
49

Asparagine and glutamine are the deamidation risk, and methionine is the oxidation risk.

Hydrolysis cleaves the backbone, most readily at aspartate-proline and aspartate-glycine sequences, and is acid-catalysed. In a dry solid it barely proceeds at all.

A mass spectrum resolves most of this: minus eighteen is dehydration or succinimide, plus one is deamidation, plus sixteen is oxidation, and an unchanged mass with a shifted retention time is an isomer.

Deamidation via the succinimide intermediate is well characterised, with sequence-dependent rates highest for asparagine-glycine motifs.

Nothing here is medical advice, and research-use compounds are not approved for human use.

Swirl, never shake. Aggregation is a handling problem more than a time problem.

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M4
answeredmz_4113101k3582 Aug 2024
4Worth adding that residual moisture predicts this better than any printed date. – deamidation_watch 3 months ago
5Any published figure for how much a collapsed cake actually retains? – nominal_ten 4 months ago
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39

Put another way, aggregation is a physical process and is the one most often caused by handling rather than by time.

Light exposure matters for tryptophan-containing sequences and for anything with a chromophore. Amber vials and a closed box are free mitigations.

Adsorption losses at low concentrations are quantified in formulation studies and are the reason carrier proteins are used in dilute preparations.

At dilute concentrations, suspect adsorption before you suspect chemistry.

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MO
answeredmarta_okonkwo190k25813 Aug 2024
7Aliquoting before the first freeze is the advice I wish I had read two years ago. – net_peptide 4 months ago
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1

This is answerable from the chemistry rather than from anecdote, which is unusual and welcome.

Deamidation converts asparagine or glutamine to the corresponding acid via a succinimide intermediate, adding one dalton. It is base-catalysed, accelerates above neutral pH and is the dominant aqueous pathway for many peptides.

Aggregation at air-liquid interfaces is established from surface-tension and particle-count studies and is the basis for anti-agitation handling guidance.

Cold, dry, dark, still. Those four words cover most of the mitigation.

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LT
answeredlane_transit60k4711 Jul 2024

Your answer

Ask PeptideStack is a static archive. Posting is closed, but the norms are worth stating: answer the question that was asked, show your working, cite the trial or the certificate, and say plainly where the evidence runs out.

Not medical advice. Research-use-only compounds are not approved for human use.